An unlicensed assistive personnel (UAP), who usually works in pediatrics is assigned to work on a medical-surgical unit. Which one of the questions by the charge nurse would be most appropriate prior to making delegation decisions?

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Question 1 of 5

An unlicensed assistive personnel (UAP), who usually works in pediatrics is assigned to work on a medical-surgical unit. Which one of the questions by the charge nurse would be most appropriate prior to making delegation decisions?

Correct Answer: B

Rationale: What type of care did you give in pediatrics?' is most appropriate. It assesses relevant experience for med-surg delegation, unlike tenure , checklist , or comfort . B ensures safe task matching, making it the best question.

Question 2 of 5

A client states, 'People think I'm no good, you know what I mean?' Which of these responses would be most therapeutic?

Correct Answer: C

Rationale: I'm not sure what you mean. Tell me a bit more about that' is most therapeutic. It clarifies, encourages elaboration, and builds trust, per communication principles. Projection , reassurance , or analysis assume or judge. C fosters understanding, making it the best response.

Question 3 of 5

The unlicensed assistive personnel (UAP) reports a sudden increase in temperature to 101 degrees Fahrenheit for a post surgical client. The nurse checks on the client's condition and observes a cup of steaming coffee at the bedside. What instructions are appropriate to give to the UAP?

Correct Answer: B

Rationale: Recheck temperature 15 minutes after removing hot liquids' is appropriate. Coffee likely raised oral temp; rechecking ensures accuracy. Fluids (A, C) or charting miss causation. B aligns with protocol, making it correct.

Question 4 of 5

A client frequently admitted to the locked psychiatric unit repeatedly compliments and invites one of the nurses to go out on a date. The nurse's response should be to

Correct Answer: D

Rationale: Discussing therapeutic boundaries is best. It reinforces professional limits, addressing behavior constructively, per ethics. Reassignment , reprimand , or policy avoid engagement. D maintains care, making it optimal.

Question 5 of 5

A client has been tentatively diagnosed with Graves' disease (hyperthyroidism). Which of these findings noted on the initial nursing assessment requires quick intervention by the nurse?

Correct Answer: C

Rationale: Exophthalmos requires quick intervention in Graves'. Bulging eyes signal thyroid orbitopathy, needing urgent referral to prevent vision loss. Weight loss , restlessness , and irritability are managed less acutely. C prioritizes complication, making it critical.

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